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Organization

JAMES R BUTLER DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CONNIE FAYE FIZER (OFFICE MANAGER)
(304) 523-2790
Entity
Organization

Contact information

Practice address
324 29TH ST, HUNTINGTON, WV 25702-1428
(304) 523-2790
(304) 523-2780
Mailing address
324 29TH STREET, HUNTINGTON, WV 25702-1428
(304) 523-2790
(304) 523-2780

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000155464
BC/BS
WV
01
000155464
UNITED CONCORDIA
05
0136895000
WV
Enumeration date
09/29/2008
Last updated
09/29/2008
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